Individual
TIFFANY DELLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
180 WINGO WAY STE 306, MOUNT PLEASANT, SC 29464-1812
(843) 884-1777
(843) 606-8000
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
22526
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22526
SC LICENSE
SC
05
—
NP6141
—
SC
Enumeration date
08/09/2019
Last updated
11/20/2020
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